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Published on: April 4, 2018
Analysis of Genetic Variants MTHFR C677T, ACE I/D, AT1R A1166C and eNOS 4a/b in the Context of Essential Hypertension
Remus Nica1,2, Silvia Nica3,4, Luciana Teodora Rotaru5
1Faculty of Midwifery and Nursing, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Insights
Essential hypertension (EH) risk is linked to ACE I/D and MTHFR C677T gene variants in Romanians. Smoking amplifies this risk, highlighting gene-environment interactions in hypertension development.
Area of Science:
- Genetics and Cardiovascular Disease Epidemiology
Background:
- Arterial hypertension (AH) is a major risk factor for cardiovascular diseases, the leading cause of global mortality.
- Essential hypertension (EH), lacking a specific cause, accounts for most AH cases worldwide.
Purpose of the Study:
- To investigate the association between EH and genetic variants MTHFR C677T, ACE I/D, AT1R A1166C, and eNOS 4a/b in the Romanian adult Caucasian population.
- To explore potential interactions between these genetic factors and lifestyle choices.
Main Methods:
- A case-control study involving 845 EH patients and 845 controls from Romania.
- Genotyping of MTHFR C677T, ACE I/D, AT1R A1166C, and eNOS 4a/b polymorphisms using PCR-based methods.
- Collection of clinical, para-clinical, and lifestyle data.
Main Results:
- ACE DD and MTHFR TT genotypes were associated with an increased risk of EH (OR=1.44, p=0.0007 and OR=1.46, p=0.0007, respectively).
- Smoking and physical activity were identified as associated lifestyle factors.
- Combined ACE DD or MTHFR TT genotypes with smoking significantly increased EH risk (e.g., ACE DD + smoking: OR=1.62, p=0.0005).
Conclusions:
- The ACE I/D and MTHFR C677T polymorphisms appear to contribute to EH susceptibility.
- AT1R A1166C and eNOS 4a/b polymorphisms showed no significant association with EH in this population.
- Gene-environment interactions, particularly between ACE/MTHFR variants and smoking, heighten the risk of developing essential hypertension.
Abstract:
Arterial hypertension (AH) is an important risk factor for cardiovascular diseases, a group of diseases that constitutes the most frequent cause of death worldwide. Most AH patients globally are diagnosed with essential hypertension (EH), since they do not present an identifiable cause for high blood pressure (HBP). The aim of this study was to assess the associations between EH and genetic variants MTHFR C677T, ACE I/D, AT1R A1166C and eNOS 4a/b in the adult Caucasian population of Romania. Methods: A case-control study was conducted including 845 EH patients and 845 controls. Clinical, para-clinical and lifestyle data were collected from each patient, as well as blood samples for genotyping the polymorphisms of four candidate genes for EH-MTHFR C677T (rs1801133), ACE I/D (rs4646994), AT1R A1166C (rs5186) and eNOS 4a/b-using PCR-based methods. Results: EH was associated with both genetic and environmental factors. Carriers of ACE DD and MTHFR TT genotypes presented an increased risk for EH (ACE DD: OR = 1.44, p = 0.0007; MTHFR TT: OR = 1.46, p = 0.0007). Lifestyle (smoking, physical activity) aspects were associated with EH. The risk of EH increased when both polymorphisms were associated with smoking (ACE DD: OR = 1.62, p = 0.0005; MTHFR TT: OR = 1.68, p = 0.0004). Conclusions: Our findings indicate that ACE I/D and MTHFR C677T may play a role in EH susceptibility, whereas polymorphisms AT1R A1166C and eNOS 4a/b do not appear to be associated. Furthermore, the interaction between genetic factors (ACE I/D, MTHFR C677T) and lifestyle factors such as smoking suggests an increased risk for developing essential hypertension.
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